﻿@{
    ViewBag.Title = "ceacesmr";
}
<!DOCTYPE html>
<html>
<head>
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    <title>静脉溶栓、血管内介入治疗</title>
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    <style>
       body{overflow-x:auto;margin:5px;min-width:900px;}
	.radio_label{display:inline-block;width:auto;height:22px;background:url(/content/images/radiobutton.png) no-repeat;background-position:-13px -16px;text-indent:22px;line-height:22px;}
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	input[type=radio]{width:0;}
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    </style>
</head>
<body>
    <form method="post" id="formSubmit">
        <div class="l-loading" style="display: none;" id="pageloading">
        </div>
        <div class="topPosition">
            <div style="float:left;font-size:13px;">
                <div style="float:left; margin-left:20px;">
                    手术类型：静脉溶栓、血管内介入治疗
                </div>
            </div>
            <div style="float:right;margin-right:10px;">
                <input type="hidden" id="txtPIId" value="" />
                <input type="hidden" id="txtAIId" value="" />
                <input type="hidden" id="txtPAId" value="" />
                <input type="hidden" id="txtPSId" value="" />
                <input type="hidden" id="txtPatientId" value="@ViewBag.patientId" />
                <input id="btnHisback" type="button" value="返回" class="l-button" style="height:26px;" />
                <input id="btnTimeLine" type="button" value="时间轴" class="l-button" style="height:26px;" />
                <input id="btnTimePath" type="button" value="时间路径" class="l-button" style="height:26px;" />
                <input id="btnPrint" type="button" value="打印" class="l-button" style="height:26px;" />
                <input id="btnDel" type="button" value="删除" class="l-button" style="height:26px;" />
                <input id="btnSave" type="button" value="保存" class="l-button" style="height:26px;" />
                <input id="btnReview" type="button" value="审核" class="l-button" style="height:26px;display:none;" />
            </div>
        </div>
        <div style="height:100%;">
            <div class="lift-nav">
                <ul class="lift">
                    <li>基本信息</li>
                    <li>入院评估</li>
                    <li>体格检查</li>

                    <li>TOAST分型</li>
                    <li>静脉溶栓治疗</li>
                    <li>血管开通治疗</li>
                    <li>住院药物治疗</li>
                    <li>康复治疗</li>

                    <li>健康教育</li>
                    <li>出院情况</li>
                </ul>
            </div>
            <div class="lift-target">
                <div class="t0" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>基本信息</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">姓名：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtrealName" name="txtrealName" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    性别：
                                    <label><input class="l-radio" type="radio" id="rdogender1" name="rdogender" value="1" />男</label>
                                    <label><input class="l-radio" type="radio" id="rdogender0" name="rdogender" value="0" />女</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    民族： <input type="text" id="txtethnic" name="txtethnic" class="l-text" />
                                </div>

                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">身份证：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtIDcard" name="txtIDcard" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    住院时间： <input type="text" id="txtlivePtime" name="txtlivePtime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">住院号：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtlivePid" name="txtlivePid" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    病人编号： <input type="text" id="txtpatId" name="txtpatId" class="l-text" readonly="readonly" />
                                </div> <div style="float:left;height:35px;line-height:35px;margin-left:27px;display:none;">
                                    病案号： <input type="text" id="txtpataId" name="txtpataId" class="l-text" readonly="readonly" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:120px; text-align: right;">医疗付款方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance0" name="chkmedicalinsurance" value="0" />城镇职工基本医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance1" name="chkmedicalinsurance" value="1" />城镇居民基本医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance2" name="chkmedicalinsurance" value="2" />新型农村合作医疗</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance3" name="chkmedicalinsurance" value="3" />贫困救助</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:120px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance4" name="chkmedicalinsurance" value="4" />商业医疗保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance5" name="chkmedicalinsurance" value="5" />全公费</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance6" name="chkmedicalinsurance" value="6" />全自费</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance7" name="chkmedicalinsurance" value="7" />其他社会保险</label>
                                    <label><input type="radio" class="l-radio" id="chkmedicalinsurance8" name="chkmedicalinsurance" value="8" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">住院次数：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtlivePcount" name="txtlivePcount" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    发病：
                                    <label><input type="radio" class="l-radio" name="rdoillshow" id="rdoillshow0" value="0" />已知</label>
                                    <label><input type="radio" class="l-radio" name="rdoillshow" id="rdoillshow1" value="1" />未知</label>
                                    <label><input type="radio" class="l-radio" name="rdoillshow" id="rdoillshow2" value="2" />醒后卒中</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    发病时间： <input type="text" id="txtilltime" name="txtilltime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">是否在院卒中：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoisinhospill" id="rdoisinhospill1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdoisinhospill" id="rdoisinhospill0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    到院时间： <input type="text" id="txtcomedTime" name="txtcomedTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">来院方式：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType0" value="0" />本院急救车</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType1" value="1" />当地120</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType2" value="2" />外院转院</label>
                                    <label><input type="radio" class="l-radio" name="rdocomeType" id="rdocomeType3" value="3" />自行来院</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">入院途径：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;margin-left:0px;">
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType0" value="0" />急诊</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType1" value="1" />门诊</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType2" value="2" />其他医疗机构转入</label>
                                    <label><input class="l-radio" type="radio" name="rdocomeinType" id="rdocomeinType3" value="3" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t1" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>入院评估</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">入院mRS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinismRs" id="rdocomeinismRs1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinismRs" id="rdocomeinismRs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinismRsYes">
                                    评分分数： <input type="text" id="txtcomeinmRs" name="txtcomeinmRs" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">入院NIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNihss" id="rdocomeinisNihss1" value="1" />已评</label>
                                    <label> <input class="l-radio" type="radio" name="rdocomeinisNihss" id="rdocomeinisNihss0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdocomeinisNihssYes">
                                    评分分数： <input type="text" id="txtcomeinNihss" name="txtcomeinNihss" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">吞咽功能评估：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdotygnpgischk" id="rdotygnpgischk1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdotygnpgischk" id="rdotygnpgischk0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    洼田饮水实验： <input type="text" id="txtwtyssyVal" name="txtwtyssyVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">是否有症状：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoishaveill" id="rdoishaveill1" value="1" />有</label>
                                    <label><input type="radio" class="l-radio" name="rdoishaveill" id="rdoishaveill0" value="0" />无</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    颈部血管检查：
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjbxgcschk" id="cbxjbxgcschk0" value="0" />颈部血管超声</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjbxgcschk" id="cbxjbxgcschk1" value="1" />CTA</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjbxgcschk" id="cbxjbxgcschk2" value="2" />MRA</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjbxgcschk" id="cbxjbxgcschk3" value="3" />DSA</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjbxgcschk" id="cbxjbxgcschk4" value="4" />未查</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">结果/是否有狭窄：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px">
                                    <label><input type="radio" class="l-radio" name="rdoreshavexz" id="rdoreshavexz1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdoreshavexz" id="rdoreshavexz0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t2" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>体格检查</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">身高(cm)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtpheigh" name="txtpheigh" class="l-text"  />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    体重(kg)： <input type="text" id="txtpweight" name="txtpweight" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    BMI(kg/㎡)： <input type="text" id="txtbmiVal" name="txtbmiVal" class="l-text" readonly="readonly" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">收缩压(mmHg)：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtpssyVal" name="txtpssyVal" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    舒张压(mmHg)： <input type="text" id="txtpszyVal" name="txtpszyVal" class="l-text" />
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    脉搏(次/分)： <input type="text" id="txtpmbVal" name="txtpmbVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t3" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>TOAST分型</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">发病机制：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoshowillType" id="rdoshowillType0" value="0" />大动脉粥样硬化性卒中(LAA)</label>
                                    <label><input type="radio" class="l-radio" name="rdoshowillType" id="rdoshowillType1" value="1" />心源性脑梗塞(CE)</label>
                                    <label><input type="radio" class="l-radio" name="rdoshowillType" id="rdoshowillType2" value="2" />小动脉闭塞性卒中或腔隙性卒中(SAA)</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoshowillType" id="rdoshowillType3" value="3" />其他原因所致的缺血性卒中(SOE)</label>
                                    <label><input type="radio" class="l-radio" name="rdoshowillType" id="rdoshowillType4" value="4" />不明原因的缺血性卒中(SUE)</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t4" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>静脉溶栓治疗</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">是否进行静脉溶栓：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoexcjmisdoing" id="rdoexcjmisdoing1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmisdoing" id="rdoexcjmisdoing0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">静脉溶栓场所：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoexcjmaddress" id="rdoexcjmaddress0" value="0" />本院急救车</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmaddress" id="rdoexcjmaddress1" value="1" />本院急诊科</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmaddress" id="rdoexcjmaddress2" value="2" />本院CT室</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmaddress" id="rdoexcjmaddress3" value="3" />本院病房</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height:35px;">
                            <td style="width:140px; text-align: right;">静脉溶栓时间：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtexcjmTime" name="txtexcjmTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">未进行静脉溶栓原因：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" name="chkexcjmreson" id="chkexcjmreson0" value="0" />超时间窗</label>
                                    <label><input type="checkbox" name="chkexcjmreson" id="chkexcjmreson1" value="1" />禁忌症</label>
                                    <label><input type="checkbox" name="chkexcjmreson" id="chkexcjmreson2" value="2" />患者/家属拒绝</label>
                                    <label><input type="checkbox" name="chkexcjmreson" id="chkexcjmreson3" value="3" />其他</label>
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">ONT：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtexcjmOntVal" name="txtexcjmOntVal" class="l-text" readonly="readonly"/>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;">
                                    DNT：
                                    <input type="text" id="txtexcjmDntVal" name="txtexcjmDntVal" class="l-text" readonly="readonly" />
                                </div>

                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">静脉溶栓药物：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <label><input type="radio" class="l-radio" name="rdoexcjmrsyw" id="rdoexcjmrsyw0" value="0" />rt-PA</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmrsyw" id="rdoexcjmrsyw1" value="1" />尿激酶</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmrsyw" id="rdoexcjmrsyw2" value="2" />阿尼普酶</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmrsyw" id="rdoexcjmrsyw3" value="3" />瑞替普酶</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmrsyw" id="rdoexcjmrsyw4" value="4" />替奈普酶</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmrsyw" id="rdoexcjmrsyw4" value="5" />尿激酶原</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcjmrsyw" id="rdoexcjmrsyw5" value="6" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">给药总量：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtexcgysummg" name="txtexcgysummg" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">溶栓并发症：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz0" value="0" />颅内出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz1" value="1" />消化道出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz2" value="2" />牙龈出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz3" value="3" />其他部位出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz4" value="4" />再灌注损伤</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz5" value="5" />血管源性唇舌水肿</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz6" value="6" />其他</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxexcrsbfz" id="cbxexcrsbfz7" value="7" />无</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">溶栓后NIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoexcrshisnihss" id="rdoexcrshisnihss1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcrshisnihss" id="rdoexcrshisnihss0" value="0" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdoexcrshisnihssYes">
                                    评分分数：<input type="text" id="txtexcrshnihssVal" name="txtexcrshnihssVal" class="l-text" />
                                </div>

                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">溶栓后24H NIHSS评分：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <label><input type="radio" class="l-radio" name="rdoexcrshisnihss24h" id="rdoexcrshisnihss24h1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcrshisnihss24h" id="rdoexcrshisnihss24h0" value="0" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdoexcrshisnihss24hYes">
                                    评分分数：<input type="text" id="txtexcrshnihss24hVal" name="txtexcrshnihss24hVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">7±2天 NIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoexcrshisnihss2_7d" id="rdoexcrshisnihss2_7d1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcrshisnihss2_7d" id="rdoexcrshisnihss2_7d0" value="0" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdoexcrshisnihss2_7dYes">
                                    评分分数：<input type="text" id="txtexcrshnihss2_7dVal" name="txtexcrshnihss2_7dVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t5" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>血管内开通治疗</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">给予血管内开通治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoistoxgnktzl" id="rdoistoxgnktzl1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdoistoxgnktzl" id="rdoistoxgnktzl0" value="0" />否</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdoistoxgnktzlNo">
                                    未给予血管内开通治疗原因：
                                    <label><input type="checkbox" class="l-checkbox" name="cbxunxgnktzlyy" id="cbxunxgnktzlyy0" value="0" />超时间窗</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxunxgnktzlyy" id="cbxunxgnktzlyy1" value="1" />禁忌症</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxunxgnktzlyy" id="cbxunxgnktzlyy2" value="2" />患者/家属拒绝</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxunxgnktzlyy" id="cbxunxgnktzlyy3" value="3" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">术前评估：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    NIHSS评分
                                    <label><input type="radio" class="l-radio" name="rdoexcisxgsqpgNihss" id="rdoexcisxgsqpgNihss1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcisxgsqpgNihss" id="rdoexcisxgsqpgNihss0" value="0" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdoexcisxgsqpgNihssYes">
                                    评分分数：
                                    <input type="text" id="txtexcisxgsqpgNihssVal" name="txtexcisxgsqpgNihssVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">ASPECP评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoexcisAspect" id="rdoexcisAspect1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoexcisAspect" id="rdoexcisAspect0" value="0" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " class="divExcisAspect">
                                    CT评分：
                                    <input type="text" id="txtexcCTVal" name="txtexcCTVal" class="l-text" />
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " class="divExcisAspect">
                                    MRI评分：
                                    <input type="text" id="txtexcMriVal" name="txtexcMriVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">TICI分级：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoticilevel" id="rdoticilevel0" value="0" />0级</label>
                                    <label><input type="radio" class="l-radio" name="rdoticilevel" id="rdoticilevel1" value="1" />1级</label>
                                    <label><input type="radio" class="l-radio" name="rdoticilevel" id="rdoticilevel2" value="2" />2a级</label>
                                    <label><input type="radio" class="l-radio" name="rdoticilevel" id="rdoticilevel3" value="3" />2b级</label>
                                    <label><input type="radio" class="l-radio" name="rdoticilevel" id="rdoticilevel4" value="4" />3级</label>
                                    <label><input type="radio" class="l-radio" name="rdoticilevel" id="rdoticilevel5" value="5" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; ">
                                    穿刺完成时间：
                                    <input type="text" id="txtexcccfinishTime" name="txtexcccfinishTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">OPT：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtexcOPTVal" name="txtexcOPTVal" class="l-text" />
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; ">
                                    DPT：
                                    <input type="text" id="txtexcDPTVal" name="txtexcDPTVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">血管内开通方法：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnOpenType" id="cbxxgnOpenType0" value="0" />支架取栓</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnOpenType" id="cbxxgnOpenType1" value="1" />抽栓</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnOpenType" id="cbxxgnOpenType2" value="2" />球囊成形</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnOpenType" id="cbxxgnOpenType3" value="3" />支架成形</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnOpenType" id="cbxxgnOpenType4" value="4" />动脉溶栓</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnOpenType" id="cbxxgnOpenType5" value="5" />机械碎栓</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; ">
                                    术后即刻评估：
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedIsNihss" id="rdoxgnOpenedIsNihss1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedIsNihss" id="rdoxgnOpenedIsNihss0" value="0" />未评</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">TICI分级：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedticilevel" id="rdoxgnOpenedticilevel0" value="0" />0级</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedticilevel" id="rdoxgnOpenedticilevel1" value="1" />1级</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedticilevel" id="rdoxgnOpenedticilevel2" value="2" />2a级</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedticilevel" id="rdoxgnOpenedticilevel3" value="3" />2b级</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedticilevel" id="rdoxgnOpenedticilevel4" value="4" />3级</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnOpenedticilevel" id="rdoxgnOpenedticilevel5" value="5" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; ">
                                    首次血管再通时间：
                                    <input type="text" id="txtfirstxgagainTime" name="txtfirstxgagainTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">DRT：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtfirstxgagainDrt" name="txtfirstxgagainDrt" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">手术并发症：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                   
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz0" value="0" />颅内出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz1" value="1" />动脉夹层</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz2" value="2" />缺血性并发症/其他部位动脉闭塞</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz3" value="3" />支架脱离</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz4" value="4" />再闭塞</label>
                                    
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz5" value="5" />消化道出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz6" value="6" />颈动脉海绵窦瘘</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz7" value="7" />再灌注损伤</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz8" value="8" />其他</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxxgnktssbfz" id="cbxxgnktssbfz9" value="9" />无</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">术后24hNIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoxgnktssisNihss24h" id="rdoxgnktssisNihss24h1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnktssisNihss24h" id="rdoxgnktssisNihss24h0" value="0" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdoxgnktssisNihss24hYes">
                                    评分分数：<input type="text" id="txtxgnktssNihss24hVal" name="txtxgnktssNihss24hVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">7±2天 NIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdoxgnktssisNihss2_7d" id="rdoxgnktssisNihss2_7d1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdoxgnktssisNihss2_7d" id="rdoxgnktssisNihss2_7d0" value="0" />未评</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdoxgnktssisNihss2_7dYes">
                                    评分分数：<input type="text" id="txtxgnktssNihss2_7dVal" name="txtxgnktssNihss2_7dVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t6" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>住院药物治疗</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">48H内抗血小板治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolivepiskxxbzl48h" id="rdolivepiskxxbzl48h1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolivepiskxxbzl48h" id="rdolivepiskxxbzl48h0" value="0" />否</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdolivepiskxxbzl48hYes">
                                    药物名称:
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepkxxbzl48hy" id="cbxlivepkxxbzl48hy0" value="0" />阿司匹林</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepkxxbzl48hy" id="cbxlivepkxxbzl48hy1" value="1" />氯吡格雷 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepkxxbzl48hy" id="cbxlivepkxxbzl48hy2" value="2" />奥扎格雷 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepkxxbzl48hy" id="cbxlivepkxxbzl48hy3" value="3" />双嘧达莫 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepkxxbzl48hy" id="cbxlivepkxxbzl48hy4" value="4" />塞氯吡啶 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepkxxbzl48hy" id="cbxlivepkxxbzl48hy5" value="5" />西洛他唑 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepkxxbzl48hy" id="cbxlivepkxxbzl48hy6" value="6" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">发病48H内抗凝治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolivepisknzl48h" id="rdolivepisknzl48h1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolivepisknzl48h" id="rdolivepisknzl48h0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;"><span id="rdolivepisknzl48hYes1">药物名称：</span></td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px" id="rdolivepisknzl48hYes2">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy0" value="0" />华法令</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy1" value="1" />利伐沙班 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy2" value="2" />达比加群 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy3" value="3" />阿哌沙班 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy4" value="4" />依度沙班 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy5" value="5" />低分子肝素 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy6" value="6" />普通肝素</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisknzl48hy" id="cbxlivepisknzl48hy7" value="7" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">降压：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolivepisjy" id="rdolivepisjy1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolivepisjy" id="rdolivepisjy0" value="0" />否</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px; " id="rdolivepisjyYes">
                                    药物名称:
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepjyy" id="cbxlivepjyy0" value="0" />ACEI</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepjyy" id="cbxlivepjyy1" value="1" />ARB </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepjyy" id="cbxlivepjyy2" value="2" />利尿剂 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepjyy" id="cbxlivepjyy3" value="3" />β受体阻滞剂 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepjyy" id="cbxlivepjyy4" value="4" />钙拮抗剂 </label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepjyy" id="cbxlivepjyy5" value="5" />其他 </label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">调脂：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px; ">
                                    <label><input type="radio" class="l-radio" name="rdolivepistz" id="rdolivepistz1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolivepistz" id="rdolivepistz0" value="0" />否</label>
                                </div>
                                <div style="float: left; height: 35px; line-height: 35px; margin-left: 27px;" id="rdolivepistzYes">
                                    药物种类：
                                    <label><input type="checkbox" class="l-checkbox" name="cbxliveptzy" id="cbxliveptzy0" value="0" />他汀类</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxliveptzy" id="cbxliveptzy1" value="1" />盐酸及其衍生物</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxliveptzy" id="cbxliveptzy2" value="2" />贝特类</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxliveptzy" id="cbxliveptzy3" value="3" />胆固醇吸收抑制器</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxliveptzy" id="cbxliveptzy4" value="4" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">降糖：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdolivepisjt" id="rdolivepisjt1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdolivepisjt" id="rdolivepisjt2" value="2" />否</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdolivepisjtYes">
                            <td style="width:140px; text-align: right;">药物种类：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px; ">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisjty" id="cbxlivepisjty0" value="0" />胰岛素</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisjty" id="cbxlivepisjty1" value="1" />磺酰脲类</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisjty" id="cbxlivepisjty2" value="2" />双胍类</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisjty" id="cbxlivepisjty3" value="3" />a糖苷酶抑制剂</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisjty" id="cbxlivepisjty4" value="4" />胰岛素增敏剂</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisjty" id="cbxlivepisjty5" value="5" />非磺酰脲类促胰岛分泌剂</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxlivepisjty" id="cbxlivepisjty6" value="6" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t7" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>康复治疗</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">接受康复治疗：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdojmiskfzl" id="rdojmiskfzl1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdojmiskfzl" id="rdojmiskfzl0" value="0" />否</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdojmiskfzlYes1">
                            <td style="width:140px; text-align: right;">康复治疗方式：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmkfzlType" id="cbxjmkfzlType0" value="0" />传统康复(针灸/推拿)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmkfzlType" id="cbxjmkfzlType1" value="1" />运动疗法(PT)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmkfzlType" id="cbxjmkfzlType2" value="2" />作业疗法(OT)</label>
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;" id="rdojmiskfzlYes1">
                            <td style="width:140px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmkfzlType" id="cbxjmkfzlType3" value="3" />言语训练(ST)</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmkfzlType" id="cbxjmkfzlType4" value="4" />其他(认知训练/吞咽治疗/心理治疗/理疗)</label>
                                </div>
                            </td>
                        </tr>

                        <tr style="height: 35px;" id="rdojmiskfzlYes2">
                            <td style="width:140px; text-align: right;">康复治疗场所：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmkfzlAddr" id="cbxjmkfzlAddr1" value="0" />床旁</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmkfzlAddr" id="cbxjmkfzlAddr2" value="1" />康复科</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t8" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>健康教育</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">健康宣教：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdojmheathisxj" id="rdojmheathisxj1" value="1" />是</label>
                                    <label><input type="radio" class="l-radio" name="rdojmheathisxj" id="rdojmheathisxj0" value="0" />否</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdojmheathisxjYes">
                                    宣教方式：
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmheathxjType" id="cbxjmheathxjType0" value="0" />集体病区教育</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmheathxjType" id="cbxjmheathxjType1" value="1" />一对一教育</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmheathxjType" id="cbxjmheathxjType2" value="2" />其他</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
                <div class="t9" style="margin-top:55px;">
                    <table style="width: 100%;">
                        <tr style="height: 35px;">
                            <td colspan="2" style="text-align: center;">
                                <h3>出院情况</h3>
                                <hr />
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">出院时间：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <input type="text" id="txtjmexitPtime" name="txtjmexitPtime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">离院方式：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px; ">
                                    <label><input type="radio" class="l-radio" name="rdojmexitPType" id="rdojmExitPType0" value="0" />医嘱离院</label>
                                    <label><input type="radio" class="l-radio" name="rdojmexitPType" id="rdojmExitPType1" value="1" />医嘱转院</label>
                                    <label><input type="radio" class="l-radio" name="rdojmexitPType" id="rdojmExitPType2" value="2" />医嘱转社区服务机构/乡镇卫生院</label>
                                    <label><input type="radio" class="l-radio" name="rdojmexitPType" id="rdojmExitPType3" value="3" />非医嘱离院</label>
                                    <label><input type="radio" class="l-radio" name="rdojmexitPType" id="rdojmExitPType4" value="4" />死亡</label>
                                    <label><input type="radio" class="l-radio" name="rdojmexitPType" id="rdojmExitPType5" value="5" />其他</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdojmexitPTypeYes1">
                            <td style="width:140px; text-align: right;">死亡时间：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;">
                                    <input type="text" id="txtjmdieTime" name="txtjmdieTime" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdojmexitPTypeYes2">
                            <td style="width:140px; text-align: right;">原因：</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;  ">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason0" value="0" />呼吸循环衰竭</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason1" value="1" />脑血管病</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason2" value="2" />肺部感染</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason3" value="3" />上消化道出血</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason4" value="4" />急性肾功能衰竭</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;" id="rdojmexitPTypeYes3">
                            <td style="width:140px; text-align: right;">&nbsp;</td>
                            <td>
                                <div style="float: left; height: 35px; line-height: 35px;  ">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason5" value="5" />损伤和中毒</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason6" value="6" />其他</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmdieReason" id="cbxjmdieReason7" value="7" />不详</label>
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">出院mRS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdojmleavehospismRs" id="rdojmleavehospismRs1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdojmleavehospismRs" id="rdojmleavehospismRs0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdojmleavehospismRsYes">
                                    评分：<input type="text" id="txtjmleavehospmRsVal" name="txtjmleavehospmRsVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">出院NIHSS评分：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="radio" class="l-radio" name="rdojmexitisHihss" id="rdojmexitisHihss1" value="1" />已评</label>
                                    <label><input type="radio" class="l-radio" name="rdojmexitisHihss" id="rdojmexitisHihss0" value="0" />未评</label>
                                </div>
                                <div style="float:left;height:35px;line-height:35px;margin-left:27px;" id="rdojmexitisHihssYes">
                                    评分：<input type="text" id="txtjmexitHihssVal" name="txtjmexitHihssVal" class="l-text" />
                                </div>
                            </td>
                        </tr>
                        <tr style="height: 35px;">
                            <td style="width:140px; text-align: right;">出院带药：</td>
                            <td>
                                <div style="float:left;height:35px;line-height:35px;">
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy0" value="0" />降压药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy1" value="1" />降糖药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy2" value="2" />调脂药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy3" value="3" />抗凝药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy4" value="4" />抗血小板药</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy5" value="5" />中药治疗</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy6" value="6" />其他</label>
                                    <label><input type="checkbox" class="l-checkbox" name="cbxjmexitpwithy" id="cbxjmexitpwithy7" value="7" />无</label>
                                </div>
                            </td>
                        </tr>
                    </table>
                </div>
            </div>
        </div>
    </form>
</body>
</html>
